KP Select CO Silver 75/5 RX Copay 94% CSR

Kaiser Foundation Health Plan of Colorado · 2027 plan year

Silver

Ind. deductible: $75
Family deductible: $150
Ind. OOP max: $2,750
Family OOP max: $5,500

Other cost-sharing reduction variants for this plan:

73% AV Level Silver Plan 87% AV Level Silver Plan Limited Cost Sharing Plan Variation Standard Silver Off Exchange Plan Standard Silver On Exchange Plan Zero Cost Sharing Plan Variation

More Kaiser Foundation Health Plan of Colorado plans in CO

KP Colorado Option Bronze KP Select CO Gold 0/30 RX Copay KP Select CO Gold 1500/25 KP Select CO Silver 2500/35 KP Select CO Silver 3800/25%/HSA

Live premium estimate

Benefits & cost sharing

Primary Care

Benefit	In-network
Preventive Care/Screening/Immunization	No charge
Primary Care Visit to Treat an Injury or Illness	$5.00

Specialist

Benefit	In-network
Specialist Visit	$10.00

Hospital

Benefit	In-network
Emergency Room Services	15.00% Coinsurance after deductible
Inpatient Hospital Services (e.g., Hospital Stay)	15.00% Coinsurance after deductible
Outpatient Surgery Physician/Surgical Services	15.00% Coinsurance after deductible
Urgent Care Centers or Facilities	$50.00

Pharmacy

Benefit	In-network
Generic Drugs	$5.00
Medical Service Drugs	$250.00
Non-Preferred Brand Drugs	$150.00
Non-Preferred Generic Drugs	$150.00
Preferred Brand Drugs	$10.00
Preventive Drugs	No charge
Specialty Drugs	$250.00

Mental Health

Benefit	In-network
Intensive Outpatient for Mental/Behavioral Health	No charge
Intensive Outpatient for Substance Use Disorder	No charge
Mental Health Wellness Visit	No charge
Mental/Behavioral Health Inpatient Services	15.00% Coinsurance after deductible
Mental/Behavioral Health Outpatient Services	No charge
Mental/Behavioral Health Prenatal Care	No charge
Office Visit - Mental/Behavioral Health	No charge
Office Visit - Substance Use Disorder	No charge
Partial Hospitalization for Mental/Behavioral Health	No charge
Partial Hospitalization for Substance Use Disorder	No charge
Postpartum Mental/Behavioral Health	No charge
Postpartum Substance Use Disorder	No charge
Residential Day Treatment for Mental/Behavioral Health	No charge
Residential Day Treatment for Substance Use Disorder	No charge
Substance Use Disorder Prenatal Care	No charge
Telehealth Mental/Behavioral Health	No charge
Telehealth Substance Use Disorder	No charge

Other

Benefit	In-network
Abortion for Which Public Funding is Prohibited	No charge
Acupuncture	$25.00
Allergy Testing	$10.00
Applied Behavior Analysis Based Therapies	No charge
Autism Spectrum Disorders - Assessment and Evaluation Services	No charge
Bariatric Surgery	15.00% Coinsurance after deductible
Basic Dental Care - Child	50.00% Coinsurance after deductible
Chemotherapy	$250.00
Chiropractic Care	$25.00
Delivery and All Inpatient Services for Maternity Care	15.00% Coinsurance after deductible
Dental Check-Up for Children	No Charge after deductible
Diabetes Education	$5.00
Diabetic Supplies	20.00%
Dialysis	15.00% Coinsurance after deductible
Durable Medical Equipment	15.00% Coinsurance after deductible
Emergency Transportation/Ambulance	15.00% Coinsurance after deductible
Eye Glasses for Children	50.00%
Gender Affirming Care	15.00% Coinsurance after deductible
Habilitation Services	$5.00
Hearing Aids	15.00% Coinsurance after deductible
Home Health Care Services	15.00% Coinsurance after deductible
Hospice Services	No charge
Imaging (CT/PET Scans, MRIs)	15.00% Coinsurance after deductible
Infertility Treatment	15.00% Coinsurance after deductible
Infusion Therapy	$250.00
Inpatient Physician and Surgical Services	15.00% Coinsurance after deductible
Inpatient Rehabilitation	15.00% Coinsurance after deductible
Laboratory Outpatient and Professional Services	15.00% Coinsurance after deductible
Major Dental Care - Child	50.00% Coinsurance after deductible
Nutritional Counseling	$5.00
Other Practitioner Office Visit (Nurse, Physician Assistant)	$10.00
Outpatient Facility Fee (e.g., Ambulatory Surgery Center)	15.00% Coinsurance after deductible
Outpatient Rehabilitation Services	$5.00
Prenatal and Postnatal Care	15.00% Coinsurance after deductible
Private-Duty Nursing	15.00% Coinsurance after deductible
Prosthetic Devices	15.00% Coinsurance after deductible
Prosthetics: Legs and Arms	10.00%
Prosthetics: Recreational	10.00%
Radiation	15.00% Coinsurance after deductible
Reconstructive Surgery	15.00% Coinsurance after deductible
Rehabilitative Occupational and Rehabilitative Physical Therapy	$5.00
Rehabilitative Occupational Therapy	$5.00
Rehabilitative Physical Therapy	$5.00
Rehabilitative Speech Therapy	$5.00
Routine Eye Exam for Children	$5.00
Skilled Nursing Facility	15.00% Coinsurance after deductible
Standalone Laboratory	15.00% Coinsurance after deductible
Substance Abuse Disorder Inpatient Services	15.00% Coinsurance after deductible
Substance Abuse Disorder Outpatient Services	No charge
Telehealth PCP	No charge
Telehealth Specialist	No charge
Transplant	15.00% Coinsurance after deductible
Treatment for Temporomandibular Joint Disorders	15.00% Coinsurance after deductible
Well Baby Visits and Care	No charge
X-rays and Diagnostic Imaging	15.00% Coinsurance after deductible

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